tissue management pre implant

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Posted on By daniel gremban In Soft Tissue Enhancement

72 year old female requesting implants in the 3-4 region. She lacks keratinized and attached tissue in the facial region. Very difficult to get a quality photo of the area so apologize for those pictures. Can this case be done with just connective tissue? Is a free ginigval graft along with connective tissue a better option? Could ACDM be used here? Soft tissue enhancement prior to implant placement or at un-covering?
Thanks to all in advance for your comments.

soft tissue
CT with planned implant showing lack of buccal and occlusal tissue

CT without implant showing lack of tissue
CT from facial of bone and soft tissue


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1 Comments

Apically positioned flap with or without additional collagen on buccal; easy, minimally invasive, effective for this site in my opinion would be the best.


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Brasseler
NovaBone